A ventilator circuit for volume control mode

A. Sanpanich, N. Komalawardhana, K. Petsarb
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Abstract

An automatic ventilator is used to treat patient who has abnormality in respiratory system or spontaneous ventilation is not enough to maintain blood oxygen and carbondioxide level in normal level. It functions to provide a fresh gas flow into patient lungs during an inspiration and remove exhaled gas from lungs during an expiration. Ventilator is known as the most complicated equipment in ICU due to a parameter setting, waveform understanding and variation of patient pathological variable under controlled ventilation which affect to ventilator operation. Then, new user always need time to practice and familiar with ventilator. In this paper, we present a simplified ventilator model by using an effective simulation tools in order to use as a simple tool in ventilation parameter study. The proposed ventilator simulation is basically based on volume control ventilation mode (VCV) with focusing on PEEP setting at expiratory module. We also simulated an operation of O2 concentrator in gas supply module which is designed by using parallel flow system of both air and oxygen. As a preliminary, all main ventilation waveforms $(\mathrm{P}_{aw}, \mathrm{V}_{T}$, $\dot{V}, \mathrm{T}_{P}$, PEEP, O2%) obtain from this modified model show an effective response and be able to use as a routine practice for new practitioner. For further study, another basic ventilation mode and setting as PCV, IMV even patient triggering setting will be added in the future.
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用于音量控制模式的通风机电路
自动呼吸机用于治疗呼吸系统异常或自发通气不足以维持血氧和二氧化碳水平在正常水平的患者。它的功能是在吸气时向患者肺部提供新鲜气体,并在呼气时从肺部排出呼出的气体。呼吸机被认为是ICU中最复杂的设备,在控制通气条件下,呼吸机的参数设置、波形理解以及患者病理变量的变化都会影响到呼吸机的操作。然后,新用户总是需要时间来练习和熟悉呼吸机。本文利用一种有效的仿真工具,提出了一种简化的通风机模型,以期为通风机参数的研究提供一种简便的工具。本文提出的呼吸机模拟基本基于容积控制通气模式(VCV),重点关注呼气模块的PEEP设置。本文还模拟了采用空气与氧气平行流动系统设计的供气模块中氧气浓缩器的运行情况。初步得到的主要通气波形$(\mathrm{P}_{aw}, \mathrm{V}_{T}$, $\dot{V}, \mathrm{T}_{P}$, PEEP, O2%)均有较好的响应,可作为新手的常规练习。为进一步研究,未来将增加PCV、IMV甚至患者触发设置等另一种基本通气模式和设置。
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